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1558 Wexford Ct4111ii° C!ty of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 C Use BLUE or BLACK Ink Permit #: 98(..016 Permit Fee: V9O• v Date Receive Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: RESIDENT / OWNER Name: Address / City / Zip: %jse /w Applicant is: Owner Contractor TYPE OF WORK Description of work: z•47IP, Construction Cost: Z j 4200 Multi -Family Building: (Yes / NO( )' CONTRACTOR Company: 494(. /%, , 7 LU- -il e- Contact: atl/t✓ / "/ / % e—, -- Address: 27 22 /39/1A:,, -0/e... f. Z'•< City: -,e11.11 / 4? State4_ Zip: ��=` Phone: License #:•ZS/ Lead Certificate #: Does this project require Lead Remediation? 0 Yes 324,No (see Page 3 for additional information) If no, please explain: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: yey CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www. aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plana, x/ /G.?✓J G 6✓ Applicant's Printed Name Applicant's Signature . . INSPECTION RECORD C°ntr°' CITY OF EAGAM PERMIT TYPE: r` ~eH 3834 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Dats Issued: • (612) 681-4675 SITE ADDRESS: toT , t a etoc Kx x APPLICAPIT: I15F71H WEX!"flRO C 1 HEOEH11ARU i:0M`ti1 Cp tMC 1#xFttklt ~ ~ ~ PERW~ %YPTYPE: TYPE OF WORK: N~ u F I ~ F1?A MlMIi i ~ 7usuLATION L ~/JntFLAtf: i ` i t R#'MAA* ti s POtV ~ i 1~ C011T1lACTA11 - a~k~er t s. ~~.l~; I I . - ; . .i ~ ~ ~ ~ ~ m ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - ~ ~ a ~ ~ ~ ~ ~ ~ ~ , ~ ~ ~ ~ ~ ~ Y ~ ~ ~ ~ ~ ~ ~ ~ ~ . , ~ ~ ~ , ~ . - . „ 'r. . . ..v .,'':.3r` ...5i' . . - .I~fx... Y - HOUSE HEATING TEST RECORD ADORESS APT. FLOOR CITY~ ' ' SUOURO OCNPANT OwNER h1EAT LOSS DATE f1TG. INST. SOID 6Y a • ' : ' _ ~ { ' INSTALLED SY I El.c+.ierl w..i bf Gs lino Br I 7YPE OF HEAT GA FA Hw STEAJA SPACE MTR. UNIT FiTR. OTHER GAS OESIGN CONVERSION ?AAKE MIAKE Of SURNER ?Aod~l ' 1 Wiel Swiol Wx. BTU Re/ing INPU7 lAAKE OF FURNACE• AA~d~I COHTROIS TNERMOSTAT M«r PI„y vnt Si:• Velw " l-77- - - KINO Of LINER , SIZE HONE Limf _ Dreh HooJ RhWletoe Limit SrM~n~ fi1tMe 1ia• HriwMr fon Serting Loeer+erw In.siie Outude Piler Type Chimn.r Conftrvelion J - , Pu.t M.k. Spillaqe ; - FiI « LA.d.I sm.k. 9.inli wi.ing Pilof Tiiwing - Dra4t Tosr Tag L.W. Cut Oif , Doo+ Proasu?• ^ li~hlfn~ Insf. _ ~ ~ Pressw• Pertenf COZ Dat• Tes?od ~ inrut CFM PKCone 0~ G,,,hny T•snno Sruek Tounp. Pwnnt CO Fr - Naww of Testw - Certificate of Compentency_ # % ~ ~e~~icate n~ ~ccu~anc~ ~c}~rbacat of ~xi[b~ ~~octi.N - This Certificatc issued pursuaret to the requirements of the Unifoim Building Coder certifying that at the tinee of issuance this structure was in coinpliance with the variow oidinances of du City regulating building construction or use. For tJu following: SF ac 1153 use B~ ~ ~ ~r TYve R3 l zo~g D~a;ct ry R~ = c~c ~ _ o.rner or suaaing NEDBGMM ~T ED IlC Address 1814 NitbAIE ffi,VD, COON RAFIDfi g Addreas I. s t _ ~ :.n"m: 11/30/Q2 Bailding Olficia? POST IN A CONSPICUOUS PIACE ~S 323 6 9117- 8 L o 0 Faq est Oale Fre No h-in Inspection O eQwr + u ? Peatly N~Will Nolity Inspector es No Whan ReaCy? Iensed contractor p owner hereby request inspection of above electrical work aP Job Aedress slreel. Bor or~Ro//ute Qty S~ (~O v~ ~ O J f I a Stttion No Township Name or No Ranga No Co'u^nry V r OccupanttPqINT1) PM1One No GO~ G p_nrd a1 ?u t~o y Powar $uOPlier Apdress Le (i C C-fP " C Eiecmcal Comracror ICompany Namel Conlractor's License No, r f~( ttr,`~.T,~ OL(C)343 Mailmg Aaoress ICon;raQOr or Owner Making Inslall pon~ ~ ~ g~- C~ { Hmhor¢ Q at re ICOntr to n Mak g In an Plwne Number y~ 7 s~o MINNESOTA STRTE BOARD OF ELECTPICITY THIS INSPECTION FEQUEST Wlll NOT Grlpgs-MiOwey BIEg. - Room 54]3 BE ACCEPTED BY THE SiATE BOARD IB]t Unrvenlty Ave., SL Veul. MN SSIDO UNLE55 PROPER INSPECTION FEE IS Phone(61Y)602-0800 ENCLOSED REOUEST FOR ELECTRICAL INSPECTION ee-0oom-0e E 9~-~' io~as~ 3 2 3 7~ •~e ms~mctions Iw completing this lorm on eacN of yenow copy. Below Work Covered by This Request 4•~.•~ - ew Atltl Rep TypeofBmlding AppliancesWired EquipmentWired Home Range ?emporary Service Duplez Water Heater Electric Heahnq ApL Butlding Dryer Other.(Specify) Commllntlusirial Furnace Farm Air Contlrtioner Omer IsvKiM Con;racmr5 Remarks a d o- Compute Inspechon Fee 8elaw: c2 3 J- f~ d x Other Fee # ServiceEniranceSrze Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps g, 0.~' 0 to 700 Amps Transformers Above 200 _ Amps 0_ Amps $IJOS InspeciwsUSeOnly TOTAL s-C:) Irrigauon Booms Special Inspection AlarmlCommunicauon THIS INSTALLATION MAV BEORDERED DISPONNECTED IF NOT Other Fee COMPLETED WITHIN 1 MONTMS/,( I, the Electrical Inspector, hereby Rouqn-,c cerhly that the above inspection has F1„e1 oeie been made af~ OFFICE USE ONLV ~ Tnis reqoest wW 18 montns Imm , Addreas: 1558 WEXFORD Ca1RT Lot IS Blk z Sec/Sub WEXFpgp These items ware/were not complete at the time of the final inspection. Date; II/30/92 Yas No . L1/ Final grade (6" from siding) Permanent steps - garage Permanent ateps - maln entry ~ Permanent drlveway Permanent gas Sod/seeded grass f/ Trail/curb damage Porch Basement finish Deck Pleasa verify vith the builder the removal of roof teat caps from the plumbing system and the ahut-off of vater supply to the outaida lavn faucet before freeze potentlal e:ists. m •caeoww~ White - City copy Yellow - Resident copy Pink - Contractor copy iRMIT N CITY OF EAGAN REAL7:':,4'rE _ 1992 SUlLDING PERMIT APPLlCATION 3' ' IS .3 - 681-4675 I hL 2 2~ RECO SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of ene~rgy , calcs. COMMERLIAL 2 sets of architectural 6 structural plans, 1 set of specifications, 1 eopy of energy calcs. I Penalty applies when typing of permit is requested, but nat picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. II bate Valuation of work r~n0~1 I~ 5ite Address: STREET SUITE A I. Tenant Name: (commerc9al only) ~ II IAT ~ HIACR SUBD. # Descri tion of work: uJ iI The applicant is: ? Owner 0 Contractor ? Other (Destribe) I~ Name 6A JP,1." 6 2z'-1 Phone qG3-z-1Zd Property LA5 a i Owner e>ww 4 Ca.rS FIpgT s~ s- i~G ~S Address °16 AgEi~ 19'7K0 4ND214- Qu4- STREET 57E X I City LRV-~u~L~e State Nu Zip 55"oy~{i II Company lo e,(Y.eQj,_._rxti~ (rriin~n . 03. rne.Phone 6 _ ~ ContraCtor ,;ddress j~'/~/ ~[tirr~Ll~d1ol~~~i ,~161cQ License # DO ~ O ~ Exp. "ill c; t.Y COZ'rr't State Zip ~ II ArohlteCt/ Company one ~y~F- 5'7~C Engineer Name _k." oQ Registration # ~I Address VID City L,rmilu . t ~ State MA Zip Sewer 8 water 1lcensed plumber _ Jnnna„4 Processing tilme for sewer 8 Mater permits is two days once are has been approv . I I hereby acknowledge that I have read this appiication and state that the informatiori1 is correct and agree to comply with all applicable State of Minnesota Statutes and Cityl'of Eagan Ordinances. ~ Signature of Applicant: j ~I ~ I OFFICE USE ONLY BUILDING PERMIT TYPE , O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging D.;b .Baceinewt Finish 0 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 B=Plex 0 13 Garage/Accessory ? 78 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~R 31 New ? 33 Alterations ? 35 Tenant Finish 11 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V-N Basement sq. ft. MWCC System `1EIS (Allowable) 4-1-4 lst F1. sq, ft. City Mater UBC Occupancy R_3 M_i 2nd F1. sq. ft. PRY Required y~ Zoning 2_I Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. Fire Sprinkler Length _T07-r- On-site well Census Code /al Depth On-site sewage SAC Code vi APPROVALS Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS 0 Site ? Footing O Framing ? Insulation ? Mallboard ? Final 11 Draintile ? Fireplace Permit Fee Velutim: $ I Z0, o00 ~ Surcharge Plan Review License ?,Y X 22 r- MWCC SAC I g(Os City SAC BSMT. Mater Conn. - Water Meter Qbx3(~= 93~ Acct. Deposit 14x38 = 53'? S/W Permit S/W Surcharge 13 C, + Treatment Pl. Road Park Dedt Trails Ded. ~sTFcooz. Coptes Other gsr.t i- 1 S y( Total: 7- x8)4 2= ,3 _ r'~ ~ SAC Units Ioo IS~I X~i3 ''I INSPECTION RECORD C°n ° 0872 CITYOFEAGAN PERMITTYPE: euiLoiNG 3830 Pilot Knob Road Permit Number: 001153 Eagan, Minnesota 55123 Date Issued: 0 7I Z 7/9 Z (612) 681-4675 SITEADDRESS: Lor: is BLOCK: 2 APPLICANT: 1556 WEXFORD CT NEOEGAARD CONST CO INC WEXFORD (612) 757-2926 PERMIF pWBTYPE: TYPE OF WORK: NEw INSPIECTION . FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: PRV S& W CONTRACTOR - JERRY'S PLBG ~ ~ L PERMIT Control No. 0872 CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: aurLoiNG Eagan, Minnesota 55123 Permit Number: 001153 (612) 681-4675 Date Issued: 0 7/ 2 7/ 9 2 SITE ADDRESS: 1558 WEXFORD CT LOT: 15 BLOCK: 2 WEXFORD DESCRIPTION: Building Permit Type 3F DWG 8uilding~Work Type NEW ~ UBC Occupancy R-3 M-1 ~ ConstructionType V-N Zoning , R-1 Building Length , 50 Building Width 50 i r . •.Ai1 i.,'~. ,'i ( -1~ REMARKS: ~O /bOA I L-1 PRV S& W CONTRACTOR - JERRY'S PLBG FEE SUMMARY: VALUATION $120,000 Base Fee $709.50 MISCEILANEOUS $1,610.50 Plan Review $461.18 Total Fee $3,546.18 Surcharge $60.00 SAC $700.00 SAC % 100 SAC Units 1 Lic. Search Fee $5.00 Subtotal $1,935.68 CONTRACTOR: - Applicant - ST. I.ICpWNER: NEDE6AARD CONST CO INC 17572926 0002068 NEDEGAARD CON3T CO INC 1814 NORTHDALE BLVD 1814 NORTHDALE BIVD COON RAPIDS MN 55448 COON RAPI05 MN 55448 (612) 757-2926 (612)757-2926 I hereby acknowledge that I have read this application and state thatil the ~ infiormation is correct and agree to comply with all applicable State~of Mn. Statutes and City of Eagan Ordinances. ~ ~/o-'~3~.~lX. 0. PP IC NTlPERMITEE SI NATURE ($SUED BY. IGNATURE HY-LAND SURVEYING INVOICE NO. 1170 F. B. N0. LAND SURVEYORS SCALE I" = 30' °l5~•~o Propossd Top oi Bloek o Denofe• Iron Monumenf o penofes Wood Hub Se? 9 50. ~ propoaed Garaqe Floor 7845 Brooktyn Bivd. B'rooklyn Park, Minnesote 55445 For Exewation Only ~142,~ Propoaed Lovreaf Floor 560-1984 x000.0 Denotes Existlnq Elevation Type of Buildinq - Q Denot6s Proposed Elevatlon (eye( ~'jD~~- -416- Denotss Surfacs Drainaqs %kkkkou+ 3 rd ~eve ~ ~11c C30.saw+e~~) NEDEGAARD CONSTRUCTION ~ o~~ _ ~ ' / ~oe ~ ~ ~ ~ ' 948.7\ I 4 \ 948.41 o, 4 pGi~O 6 QE b ~ z 1,51. ~ ~ s 9d69 ~ ~ il ' b ~ , A4b~O ~ 's / / q 4~ ~ \ j \ t ~93b,¢ \ 5~ \ , p \ 9 . - I~-°I,3~-- - ~ , Lot 15, Block 2, lJEXFORD . ~ F'IRMo RG~.~U1MjD The only weaneMe elwwn aro hom piMe ot rooad a Informdion piwlded by elient , I heraby eerttfy thst this survey was prspered by me or uaer my direct supervislan, u+d that 1 em a duly ReOtatered Land Surveyor trder the lsvs of the Stste ot Mimesota. Mgwd gu4eyedpyu.it,y 16th daya JuIv _jp Q2 Milfon E. Hylond, Minn. R q. No. 20262 Re,r, ~,f 2Z1 r99Z C.OhiM. NO. P'lanninq Desiqn Inc. 1611 Hi gf'iway 10 N. E:. Minneapu7is, MPI 55412 612-780-192Q I'•Itnnesnta .S"tate [=noryy Code Ca.ir"laCi.nns B.ased an Chapter S of the Nlodel Energy C.;ode 1983 Fditiori Ada{?ted ] /1; [1{4 Owner: CDh'Ihl. NU: 870739 `,3i te Addr-eaan: l:ontract.ur-: Medegaard Cnnstruction F'hnne: Pidg. i:la=t:: (-1]. A1 far Sinyle Family/I)up1e:; A.]', resident.ial. _ storie- Over _ =.torie= Uther . GE=NE:F,F11._ '[NFOI?Pilal'IOF.I Plnt.e: Thp =,ert:i.r.m de=;;ynation= ("Secti.on A", "Section E<" etc.) are for- c.onvenienr_e in calculal_inns on1y, and are not reJ.at.ed from one set of calct.ilation> L,e].ow te the ne>:t. 1. Hldg, bJall s. F'erimeter l•lal.l heiql-it.=_, = Area gr-ound tn cra•:e E;ecI-1on (-3 : 74 14.95 - 1106,3 Se.ct:i.on E: 62 9.63 609.4E Sei=1:l nn 1' , .=fi 18.37 - 476. J3 SFr:ti.nn D. 0 Or-ns:, Wa11 (ir-ea = 2192.54 Esuy liJ inG rli inen5.t1'?f1E F7 nqt- CiY.. Cei 1. inq I_enqth WidLh = Ar-ea spcrtun A , 26 26 - 67`, `_;ection t? H1 14 - `.zihf i Sor: t i. or'i L= . U. 0 = 1:7° Ss=r.:tlon D : !i 0 = ri Total floor or ceiling area 1364 1=?im ,7oi=.;{- Per-imetr=r- Flaor .jnist 2 by 0", 10", 1:1" or 16"7): Fiim ,7oist Ar-e.a = 1_5 4. i)qr,r,= . Ar'E<<: 47.H Thic4mes= !inches?: O f'ertmeLe=r (PF=eF): ii Type oc c.on=,tructir_,n: 5. T'r,ta1 rionr' s pertmei=er-: ri 6. 6d i. ri d c, w`__ Plmnirfac+ur-c-•r : lJ tact.car: U.:;'< S'ta1:.2 approved: yes Type Height Lenc7th Ni.imber = Tatal ~ (inches) (Incl-ies) nf glass SqFt iani ts ` Cc+s?men t 60 16 ? 1.:. [:asement 36 20 7 SS f:;asement bi) 20 4 33.17. Casement =+6 24 4 24 Crasement 40 24 13.33 Ca=en:ent 419 24 16 Casement b!! 24 S SO Faxec1 60 42 1 17.5 Fi;:ed 18 42 1 14 ry i~ ii ri . l) tl l.t r) t) C1 V f) il V fl tl 7. Windaw g1ZSS area (6qFt) _ 216.49 ' TYI'c- Heinht L.ength NumCer- = To{:a1 (feet) (fBEt) units SqFt B. Patin IJoor: 6.85 41.1 9. Atriuun: 10. I-ir-rplar_e area 6•lidth: 0 Height: Q Total Sq Ft- ti. E::po=ed Foiindat.ion He:i.caht area f-d: 0.67 Perimc:t.er area A: 156 Sq F't area A= 104.52 Fipo=_;ed Foundatian !-lei.qtit area B: 0 F'erimeter area 9: D Sy Ft area R = !i 12. SyFt LJ i'ac'tor- U:: R Grosss t•ia.i.l area 2192.34 minus Wi. ndow area 216.49 0.52 112.57 F'a'tio doar area 41. l 0.47 19.32 Atrium area 0 F,trn Joi.s_t area J:;'S 0.04{ 5.54 I?oor area 43.N 0.14 6.17_, Fireplncca area u 0 ti F;;po=.ed Found. 1 nF}. S:' 0.14 14. h3 Framinq area 219.234 0.095 20.83 eyi.ial s Tut.at=., for riot aaei.ll: 1432.J96 0."47 61.5E1 utals for gr~~ss wa11 area: 240.6 ~ F'r-arning area is lQ% of gross wall area 13. Gros= aiall area factor below - U>; A per- code Factor is .11 for A-t sinqle family & duplex .21 for A--2 and other residential .:'l3 fc?r ot:her bi.ii l ding= .28 f or- nver 3 star i es Far_tor i s: 0, 1t 13'fUH = 241.1574 MUS3'T RE (7f: (calculated above) t<E. Gr-oss cczi L incl area = t'64 ~ 15. Ceiling irarning area (10% oi' ceiling area) = 136.4 16. ?oist Ar-ea (10% of ce.ilinq ar-ea) = 136.4 17, Net cQii.inc,7 area (Gross ceiJ, area loi.=,t ar-ea) 1227.6 13., l1 ceilinq; 0.02L Net c.eil. area = 25,7796 19. U framing: 0_024 Joist arez = 3.27=+6 <<-'• Tota1 of it_em 18 item 19 29,05::' 21. 6'ross c:eiling area {actor- hcalow = U:; A pcar code Far_tor i=. .025 for A-1 single Fami.ly & di_iplea;; •03:' ior A--2 and ottier residenti.al .06 for other bui.ld.inys Fact.ar is. 0,026 FTUH = 35.464 hiUST EE ~ UR (calculated aCove) . i ' -7'tiMCUC-l:Nll.OlHl . 13UII,TIt11L k oALUE U YALUE Instd• atr film ,68 Ititeriot va11 .45 (Wall) U. a . N I ~ [nsulation 19.00 # Shtathing 2.06 .043 : .i Siding ,67 . Ouu lde alr film ,17 R TOTAL 23.03 Inatde atr Eilm .68 /ST7UD Inteciot vall .45 N , 7470 •tud - 61, R* ;z3w 6.50(Ftamtng) U. s. ~ Sheaching 2.06 ~ Sldins • .67 ,p` Outalde air film .11 Q'f01'AL 10•53 Instde air film Ra .68 2ND iiALL LntasLar rall ' SEC2ION Insula[lon (Hall ) U . $ . Sheathing 'L • Exteriae vall eovering ~ E:tartae air film R . .17 B ?OTAL ' Intetior atr film R= .68 RIH ~ Lnaulatiaa 19.00 . 1 JOIST Ineh soft roud R=1.88 (Rtm p~~. ~ Sheathing 2.06 Joist) .041 Exterior vall eovecing .67 Exterloe air ftlm Ra ,17 ~ a rorat 24.46 • Incertor air fitm R= .68 . ` Inaulaciort 5.00 Foundaclon 1.28 ~ ~ (Fdn.) U • A ¦ Exterior atr fllm R° .17 C fl TOTAL 7•13 •14 ~ - xposed 9luck • \ . R lL'c a, . FAAi4I~IG CEIl4NG 4.61 A1r Fitm `0.61 ~ 36.0o Insulation 44.00 oiw' 4.38 Joist . ..56 Ceiling .56 i. 0.61 A1r F11m 0.61• 41.55 Total R 45.7e ~ .024 U ¦ if . .021 • F!.4i.RCOF OR CATHEORAL CEILIPIG ~ ' A '/a ue R 'lALUE FfW4ING CEIIING ' I 0.61 Inside air film 0.61 ~ . Ceiling Joist (stud . Insulation Air space Raof decking . Insulation ~ 8uilt-up roof 0.17 Outside air film 0.17 • , Total R 1 a U R `41ndaH infiltration .5 cfm/lineal foot of crack tesidential door infiltratien 0.5 tfm/Square foot or door and minimum Code requirement lon-residential door infiltration 11.0 tfm/lineal foat of crack 1b 12" concr•ete block no insulation =..47 R 2.1 !b 12" concrete block insulated cores ¦.26 R 3.8 Jb 12" ligiitHeiaht block ¦,32 R 3.1 1b 12" 1lgntweight block insulated cores a .12 R 8.3 1 single glass • 1.13; uith storm.Nindbw .54 1 dauble glass ¦ .55 • J triple glass • .41 ail exterior walls and ceilings must have a vapor barrier (0.10 perm max.). :apor barrier must be on the inside (heateA side) of rrall. iapor barriers of the polyethelene thin f11m have no R value. ' L 15 eL °Z ' • CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD. (612) 681-4675 RECEIPT DATE k7127 92-- REBIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE TNE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ? REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 =00 REPAIR WATER CIASET 3.00 1-4.00 ~ BATH TUB 3.00 9.00 S IAVATORY 3.00 K-Do OWNER NAME: LdW /?`~c- ( oo+^~ / KITCHEN SINK 3.00 3,00 ~ ~ IAUNDRY 1RAY 3.00 3.00 SITE ADDRESS: I~S C~ rNG~?~l01f"~ DUV' ~ HOT TUB/SPA 3.00 / WATER HEATER 3.00 ?,00 ~ FLOOR DRAIN 3.00 •00 GAS PIPING OUT. INSTALLER: , er?'S~S ~tUYh.~~^~,F ~ (MINIMUM - 1) 3.00 DO ADDRESS: I~3~~~~'~ 4-dA~ - ROUGH OPENINGS 1.50 OTHER WATER CITY: ?~6N ~~i'.~/`~ ziP: .ffY1'~ r PRIVATE DI P~ 155.00 .00 • Oa G R 3.00 PHONE W.TURNAROUfILD 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: ~5 9.~ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COP44ERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: , OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. , STATE SURCHARGE - $.50 FOR , TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: • TOTAL: $ PHONE FOR : ( S I GNAT[7RE ) CITY OF EAGAN CITY OF EAGAN FOR CZTY USE ONLY 3830 PZIAT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # /O ~ •~/o~ ~GF1dNSCAI. `YERlSS'i~' DATE: b'//FS ~!9 2 RESID~NTXAX:c` PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST XX ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT oWNER NnME: Nedegaard Construction svaTQTAL: $ sn.no SITE ADDRESS: 1558 ilexfard Court STATE SUR GE: .50 IAT: is L~ BIACK ~ SUBD. TOTHL• !1. F(1 INSTnLLER: Dependable Indoor ir Oualtiy, Inc. ADDRESS: 2619 Coon Rapids Rlvci. GNATUR OF ERMITTEE CITY: COOn RapldS ZIp: 55433 PHONE u: 757-5040 COMt(ERCIWiNDUSTRIAL': PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDZNGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDZNGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STP_T? ::URC'rIARGE - j . 5J FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. FROCESSHD 2IPING - $25.00 LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN Alloo I For Office Use ~ 1~ City ~ of Ea an j Permit u I Permit Fee3830 Pilot Knob Road ~ Eagan MN 55122 Date Received' ~ i ~ Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION 1 Date: Site Address: L~- FIvA~ 'm ' 0 Tenant: 17A Suite M. J V 7/4 RESIDENT 1 OWNER Name: :tc Phone: c5 lqgE , Address / City / Zip: Applicant is: Owner _ Contractor t TYPE OF WORK Description of wnq~rk: Construction Cos Multi-Family Building: (Yes No CONTRACTOR Name: N~ License / Address: City: Slate: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventdation Category 1 Worksheet • New Energy Code Worksheet Category submined submined (4 submission type) • Energy Envelope Calculalions Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: NOTE: Plans and supporting documents ihat you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit ihe City to conc/ude ihat the are trade secrets. I hereby acknowledge that this information is complete and accurete; that the work will be inconfortnance with the ordmances and codes of the CiTy of Eagan; that I understand this is not a permit, but only an application for a permd, and work is not to start withoul a permit, that the work will be in accordance with the approved plan in lhe case of work which requires a review and approval X v,2at_0 LJ X Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r----------------"'� I For Office Use � � � Permit#: � �� j Clty of �� I p rmi Fe : `�� e t e �� 3830 Pilot Knob Road � � Eagan MN 55722 � Date Received: � � Phone: (651)675-5675 1 I Fax: (651)675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � � 0( Site Address: �� E�C�C9�'� C�I . Unit#: �f �� - Name��A Y��l�rt7`d 9� ��e Y1s h �PqS/..��f Phone: �'"ReSldertt! � . .. ', QW�`�r ._ ;'`�� Address/City/Zip:�� (nf�X oc�� C�. �'!�c i4 ✓1. �✓l✓� S�S�I Z Z Applicant is: Owner �Contractor Type Of WOrk��' Description ofwork: �� O�'� Construction Cost� 0 4 Multi-Family Building: (Yes /No , Company: '�4 Qb�� "i 4a— Contact: � ��N (iFl Y�'A��b � '- � �� Address:y� � � �f C�'�A� C, lv City: �f� O�! ✓� ,�,� 'Contractor _�� d � State: 1 n Zip: 1 ZZ Phone:�1Z 3�^J 7 S—(e( Email:�D h n� C�^�I�i`r Y'c�1�•3'• C O� rx '�'�� License#: � � ��,5� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone. �i Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NO7'E:Plans.anc�supporting�d�cument�th�t younsu�mit are considereal to�ie public informa�ipn. ;Porfions of :: #he infprmatinn rrmay�be cl�ssified�s non-puiblic if you provid�spe�i�c reasons t%i�t would p�rrriit the City to conClude.=that fhe are'#rade:"secrets. CALL BEFORE YOU DIG. Call Gopher State One Ca11 at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive Iocates of underground utilities. www.qooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minn sota State il ' Code must be completed within 180 days of permit issuanc� x 0 ��v` M 1 i°t�C2�✓1�� Applicant's Printed Name p'canYs Signatur Page 1 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use � I �f I ' � Permit#: 1 �`��1�� j �lt� 0��1�Il � ��s �.� � � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I I Fax: (651)675-5694 I Staff: � I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: � t Name: I� o fJ � � C� �$/%�-Q�✓" Phone:(o Q 9" `�Q,�� J�� L , ��U��b Address/Cit p:1-�� (,(1�X�a r� C T- _:�lil�� Y l Zi � x � � �� ;�� Applicant is: Owner �Contractor �� Description ofwork:�P,Q�A��2- �l.�+v� �dv✓ �� S /'!G � �� a � ��Q�'�C � � �, Construction Cost: � d��1 Multi-Family Building: (Yes /No� ��r Company: � Q t l�tr �d o F r N � '°�'/LX"�"�r'��r'SContact:�6 h � r'r',�t n b � ",. : Address: j C r' ' +�c��k�r �7 9`7 � ��. � L �n� e c�ty: t=f1 �y� �I �� } fi h ' _/ � ; � State:�'1 e�!" Zip:S.S�I Z L Phone:41� ,�G� l sG f Email: J ��n � C+�Q�fi� t'O a��S'. C d� License#: /S C �n 7 9'�i'�� Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: 1��`#'��r��t�t ��v►��r dr�c�e��s��r�� ., ' �p iC��C� ��s��' r� �� i��r�i��r'�i�v�►��'�;��s�eMd��c��b1�c�''��a�r��'�l''�t��a �t 5:: ,�,< ',r.z ��`� ��.��c�'+�#�. �� a '� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknow�edge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minne ta Stat ui Code must be completed within 780 days of permit issuance. x �.J d h'�`�, /✓t ��J� ��:?l�� x d�-�...� Applicant's Printed Name Ap ant's ignature Page 1 of 3